How much rates vary
Facilitymedian $1,905 · 10th to 90th $708 to $5,888Professionalmedian $1,479 · 10th to 90th $708 to $2,692
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $4,677.35 | Facility | None | $707.95 | $707.95 | $4,677.35 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 78 · Unplanned return to OR | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | None | $707.95 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 54 · Surgery only | $537.03 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $512.86 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,630.27 Median $4,786.30 Typical High $8,317.64 | Facility | None | $2,630.27 | $4,786.30 | $8,317.64 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,513.56 | $2,398.83 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,202.26 Typical High $1,905.46 | Professional | 54 · Surgery only | $912.01 | $1,202.26 | $1,905.46 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $302.00 Typical High $467.74 | Professional | 55 · Aftercare only | $229.09 | $302.00 | $467.74 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,258.93 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $954.99 | $1,258.93 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,174.90 | $1,819.70 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,122.02 | $1,905.46 | $3,019.95 |
Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,951.21 | Facility | None | $1,047.13 | $1,698.24 | $2,951.21 |
Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,000.00 | $1,778.28 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,187.76 Typical High $6,456.54 | Facility | None | $1,258.93 | $2,187.76 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,445.44 Typical High $5,370.32 | Professional | None | $776.25 | $1,445.44 | $5,370.32 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,511.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,288.25 Typical High $2,630.27 | Professional | None | $741.31 | $1,288.25 | $2,630.27 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 52 · Reduced service | $354.81 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | 53 · Discontinued | $141.25 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $72.44 |
Where Minnesota sits
The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $5,643MD $1,856
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.